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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
HIRUDOTHERAPY FOR FLAP SALVAGE- REPORT OF TWO CASES
Author
Praveen N1, Deepa CK2 and Laxminarayan Bhandari1
Email
lax321@gmail.com
keyword
Leech therapy, Flap congestion, Hirudo medicinalis.
Abstract
Hirudotherapy is the application of leeches for medical purpose. Following flap procedure or re-implantation, leeches are used to relieve post operative venous congestion and salvage the flap. We report two cases where we successfully applied leeches to save congested flaps. There were no complications. Hirudotherapy works on three mechanisms- active suction of the blood by the leeches, passive ooze from the bite site and injection of bio- active materials into the wound. Complications of leeching include- transient itching, infection, requirement of blood transfusion and regional lymphadenitis.
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